| NPI | 1043559362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 1313) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 25078) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2017-02-08 |