| NPI | 1689066458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA 0183860CCNS) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN108603L) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |