| 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, Psych/Mental Health, Adult (Licence: MN 0148074) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MN R0820028) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-08 |