| NPI | 1184810665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC A932) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: SC APMH932) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: GA RN190459) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2020-07-15 |