| NPI | 1457861940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: AZ 9580) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2023-07-17 |