NPI | 1245206291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 0820028) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: MN 0148074) |
163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: MN R0820028) | |
Enumeration Date | 2006-02-28 |
Last Update Date | 2007-07-08 |