| NPI | 1477127587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 12.009995) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 137745) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-09-07 |