| NPI | 1003645300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AK 201240) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 12508) |
| 363L00000X Nurse Practitioner (Licence: AK 197889) | |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-07-28 |