| NPI | 1083755300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CT 001486) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 1486) |
| 364S00000X Clinical Nurse Specialist (Licence: CT 001486) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-05-07 |