| NPI | 1164528907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: IN 70000070) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-12-30 |