| NPI | 1659715266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR32091) |
| 163W00000X Registered Nurse (Licence: CA 550121) | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2023-11-02 |