NPI | 1396726402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 091408) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 091408) |
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MO 091408) | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MO 091408) | |
Enumeration Date | 2005-11-07 |
Last Update Date | 2013-12-18 |