| NPI | 1144389487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT RN20716) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MT RN20716) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 9765678-4405) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2016-06-20 |