| NPI | 1508094327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MA RN135703) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA RN135703) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2012-02-29 |