| NPI | 1356531412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AK NURR29380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 160677) |
| 163WC1500X Registered Nurse, Community Health (Licence: TN 160677) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-09-25 |