| NPI | 1972677961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5002424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5002424) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NC 215112) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-09-09 |