| NPI | 1043596067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 68336) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R50261) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NM CNS00195) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2022-07-13 |