| NPI | 1467424879 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN 406) | 
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R074710-1) | 
| Enumeration Date | 2006-02-02 | 
| Last Update Date | 2019-04-23 |