| NPI | 1861648743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AK 14002) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: AK 14002) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: AK 14002) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |