| NPI | 1093156895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: NE 111511) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111511) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2017-01-10 |