| NPI | 1730483082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WY 38889.1584) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: AZ RN165748) |
| 164W00000X Licensed Practical Nurse (Licence: AZ AP3882) | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: WY 38889.1584) | |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2022-01-21 |