| NPI | 1699859884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AL 1-123427) |
| Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: GA RN179366) |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: GA RN179366) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 401172) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-10-12 |