NPI | 1003007477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MA RN206918) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: MA 206917) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2019-01-23 |