NPI | 1508070665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 000915) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CT 915) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2012-05-01 |