| NPI | 1780661801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN 10) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN 10) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN R096085-2) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2024-01-22 |