NPI | 1841245891 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 001983) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 001983) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2012-04-05 |