| NPI | 1164030391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: FL APRN11030778) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9443294) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2024-01-23 |