| NPI | 1609033885 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OR 200170032CNS)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 091007233RN)  | 
| Enumeration Date | 2008-05-16 | 
| Last Update Date | 2008-05-16 |