| NPI | 1427579234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AK 167311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 25748) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2021-09-20 |