| NPI | 1982863924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TN APN22375) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN121613) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA rn 136220) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2023-08-07 |