| NPI | 1467680272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 203899) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9384052) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9384052) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-05-26 |