| NPI | 1518948629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 170600) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 170600) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2008-05-07 |