| NPI | 1841804234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 165235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 118269) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 118269) | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2022-03-17 |