| NPI | 1245251974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN172647) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1109295) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: KY 4867S) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OH NS01372) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2009-06-08 |