| NPI | 1225025877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 172783) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 172783) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2011-10-20 |