| NPI | 1396989141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-205215) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IL 209-006444) | |
| 363L00000X Nurse Practitioner (Licence: WI 5697) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2018-04-16 |