| NPI | 1225471154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-02161) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-158552) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NM CNP-02161) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2021-12-14 |