NPI | 1861619157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX 130104) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 574361) |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 194095) | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2016-03-04 |