NPI | 1083731582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 002591) |
Additional Taxonomies | 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: FL 9375336) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2019-03-04 |