| NPI | 1205150174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5004626) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 0000014575) |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: AZ AP8450) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2020-02-10 |