| NPI | 1679755482 |
|---|---|
| Former Name | KATRINA LOU NESTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IN 2007009969) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28134167A) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |