NPI | 1689745895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP010789) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: PA RN294050L) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2023-11-17 |