| NPI | 1942920525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 213985) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 46316) |
| 163W00000X Registered Nurse (Licence: AK 207882) | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-12-04 |