NPI | 1568775153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71003277A) |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 71003277A) |
364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: IN 71003277A) | |
Enumeration Date | 2010-07-23 |
Last Update Date | 2023-11-27 |