| NPI | 1497733711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 74328) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: KS 1324579092) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2023-03-07 |