NPI | 1184657165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.020380) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71003239A) |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA RN178406 CNS/PMH) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2024-06-24 |