| NPI | 1033196621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: HI APRN 930) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ RN030396) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: HI RN S9082) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2007-10-02 |