| NPI | 1215125216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist Family Health (Licence: IA A070333) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G166803) |
| 364SF0001X Clinical Nurse Specialist Family Health (Licence: NE 110919) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2022-06-15 |