| NPI | 1699082651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: KS 53-75238-052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75238-052) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2017-08-25 |