| NPI | 1871591156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: IN 70000049A) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-10-05 |