| NPI | 1942392014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN R1053399) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MN R1053399) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MN R1053399) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2018-03-17 |