NPI | 1093777955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MN CNS 0315) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND 200099) |
364S00000X Clinical Nurse Specialist (Licence: MN R1345887) | |
Enumeration Date | 2006-04-05 |
Last Update Date | 2025-01-08 |