| NPI | 1053505206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 128333) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AK 436940) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 128333) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 128333) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2024-11-20 |