| NPI | 1063955482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 183780) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN182118) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AK 183780) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10191) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10191) | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2024-06-12 |