| NPI | 1104908698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: FL 879732) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 879732) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 879732) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-08-14 |