NPI | 1710114830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP016271) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6345) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA 308727L) | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA 0366453-01) | |
Enumeration Date | 2009-06-16 |
Last Update Date | 2021-10-27 |