| NPI | 1811968803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: KS 74532) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: KS 74532) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-09-26 |