NPI | 1013981083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024165889) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: VA 0024165889) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2013-09-16 |