| NPI | 1639109697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: TN APN06486) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN APN06486) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-07-20 |