NPI | 1043524218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 1249) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AK 9082) |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 765474) | |
Enumeration Date | 2010-07-30 |
Last Update Date | 2023-05-03 |