| NPI | 1346430261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN096944) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: LA AP05206) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2019-09-05 |