| NPI | 1588930473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP02116) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA 246652L) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP012146) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2013-03-21 |