NPI | 1396134169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: LA AP08129) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP08129) |
Enumeration Date | 2015-01-17 |
Last Update Date | 2024-07-02 |