| NPI | 1255434874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5450-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A142161) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 1665017) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R25486) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R166501-7) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: ND R25486) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN 1665017) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2024-04-25 |