| NPI | 1881239259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 179540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK NURR15434) |
| 363L00000X Nurse Practitioner (Licence: AK 179540) | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2021-12-02 |