| NPI | 1912210196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MN 0300363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 187128-3) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |