| NPI | 1538239827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 974) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 974) |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0024283) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0024283) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-05-11 |