| NPI | 1043706245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 134550) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: AK 134550) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AK NURR32974) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2022-05-14 |