| NPI | 1609028786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: KS 1344449102) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MO 097904) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |