| NPI | 1083628663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 21845) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: SC 21845) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: SC 21845) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |