| NPI | 1821164120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 136908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 2245392) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP2245392) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-01-15 |