| NPI | 1376500165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: NM R-34596) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-05-03 |