| NPI | 1053206003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK 215105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 215105) |
| 163W00000X Registered Nurse (Licence: NY 957353-01) | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |