| NPI | 1336237833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R853137) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 23786.0844) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WY 23786.0844) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-07-28 |