| NPI | 1659310134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-45587-032) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KS 74622) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: KS 0185620-01) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |