NPI | 1053300855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 229632) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 229632) |
Enumeration Date | 2005-10-14 |
Last Update Date | 2020-06-01 |