NPI | 1457854515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1695) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: ID PA-1695) | |
Enumeration Date | 2018-03-15 |
Last Update Date | 2023-11-27 |