NPI | 1821221920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX 760860) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN169742) |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IN 70000096A) | |
Enumeration Date | 2009-08-24 |
Last Update Date | 2017-06-02 |