| NPI | 1689641755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 158257) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA RN2337604) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 70071) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2024-08-09 |