NPI | 1790897130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MO 62550) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 062550) |
363L00000X Nurse Practitioner (Licence: IL 041-318181) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2009-01-02 |