| NPI | 1386913796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 1280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 18965) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2012-02-15 |