NPI | 1972551711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: OH COA.07267-NS) |
Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: OH COA,07267-NS) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2015-08-10 |