| NPI | 1033105077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA RN318709L) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: PA CNS000330) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2022-10-05 |