NPI | 1659732964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 206667) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: AK NURR32781) |
Enumeration Date | 2016-03-14 |
Last Update Date | 2023-11-08 |