| NPI | 1831269190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 950011) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: NC 181899) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-03-07 |