| NPI | 1710200985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 131313) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 22972) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 131313) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2024-11-08 |