| NPI | 1295895597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 065595) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 002537) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-08-22 |