| NPI | 1447686241 |
|---|---|
| Former Name | KIMBERLY A MATTEI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IL 277000782) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209010699) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IL 209.010699) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2021-11-11 |