| NPI | 1700072857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 020052-23-08) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NH 020052-21) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NH 0168065-01) | |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2007-09-22 |