| NPI | 1073679387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G141441) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 3018132) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL 3018132) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2019-06-10 |