| NPI | 1669427167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: PA RN179269L) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-05-23 |