NPI | 1083042519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MD r191100) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r191100) |
Enumeration Date | 2013-10-18 |
Last Update Date | 2024-06-04 |