NPI | 1831281187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP010407) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: PA RN520545L) |
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: PA CNS000035) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2024-05-30 |