| NPI | 1184752172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: TN APN0000007988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 126136) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-03-31 |