| NPI | 1043684756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201602402RN) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN R 161857-2) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2021-05-20 |