| NPI | 1366784928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5983) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5983) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IL 209010206) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2022-07-21 |