| NPI | 1063526994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: PA RN246718L) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA RN246718L) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |