| NPI | 1043285976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 32) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN R103957-5) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN 32) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-08-04 |