| NPI | 1407866510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: MN R107748-5) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R1077485) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-08-17 |