| NPI | 1689849671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004323) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NC 175884) |
| 364S00000X Clinical Nurse Specialist (Licence: NC 175884) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NC 175884) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2024-07-16 |