| NPI | 1770709354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN134980, AP2337) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN134980, AP2336) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN R 091048-8) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-12-05 |