NPI | 1356589709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MO 073378) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 073378) |
163W00000X Registered Nurse (Licence: IL 041.358872) | |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IL 209.006638) | |
Enumeration Date | 2009-01-22 |
Last Update Date | 2009-04-01 |