| NPI | 1255303707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000224) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP000224) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: SD 0224) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-12-11 |