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 |