NPI | 1053069104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: AR 215739) |
Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: AR 215739) |
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: AR 215739) | |
Enumeration Date | 2022-03-16 |
Last Update Date | 2022-03-16 |