NPI | 1114171303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003899) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CT 003899) |
363L00000X Nurse Practitioner (Licence: CT 3899) | |
Enumeration Date | 2008-11-14 |
Last Update Date | 2012-05-09 |