| NPI | 1659359362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 193) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN R085716-9) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN 193) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-02-14 |