| NPI | 1942291828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: LA RN098474) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: LA AP03752) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: LA AP03752) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-08 |