| NPI | 1235156191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: ND R19257) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ND R19257) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2021-01-22 |