NPI | 1740475680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: UT 222078-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 222078-4405) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2017-04-10 |