| NPI | 1174627566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NC 100861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 200792) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-07-22 |