| NPI | 1912989427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA003266L) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: PA MA003266L) |
| 363A00000X Physician Assistant | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA MA003266L) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA MA003266L) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2024-12-12 |