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 |