| NPI | 1639855844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 211949) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 680792-1) |
| 163W00000X Registered Nurse (Licence: AK 38518) | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2024-01-08 |