| NPI | 1275570905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1687033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1687) |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: WI 1687-33) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: WI 1687-33) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2021-12-10 |