| NPI | 1003855271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 556) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200550102NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 556) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200550103NP) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2007-07-08 |