| NPI | 1194930990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-49131-062) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: KS 74209) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |