| NPI | 1962711697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5006304) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 261257) |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: NC 261257) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2020-11-02 |