| NPI | 1821393125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN532238) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA CNS000152) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2013-02-08 |