| NPI | 1851432538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NJ 26NC04625800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN249430L) |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NJ 0146015-02) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-06-17 |