| NPI | 1952413122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1405033) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 96103030) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: WI 1405033) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-09-30 |