| NPI | 1053563361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9486153) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CT 03793) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: SC 4266) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NY f401380) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2018-11-11 |