NPI | 1184785115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OH RX11806) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY KYARNP2789S) |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: KY KYARNP2789S) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2012-11-14 |