NPI | 1043392756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: ID CNS-68-A) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 200450045NP) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2015-12-16 |