NPI | 1255486759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM R 24635) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NM R24635) |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NM R24635) | |
163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NM R 24635) | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2023-03-14 |