| NPI | 1437132701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: WI 1620-003) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1620) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2008-03-28 |