| NPI | 1063955854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: DC 1026452) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 102-6452) |
| 163W00000X Registered Nurse (Licence: MD RN200255) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD 200255) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC 1026452) | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2023-11-20 |