| NPI | 1952401200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: ND PAC0235) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: ND PAC0235) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-02-22 |