NPI | 1174561740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 950023) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 950023) |
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NC 950023) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2019-11-14 |