| NPI | 1578589081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA RN-192811-L) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: PA SP010592) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2012-11-01 |