| NPI | 1518021955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G117104) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041-345988) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IA G-117104) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2018-09-13 |