NPI | 1053627521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AL 1-024030) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-024030) |
Enumeration Date | 2010-08-23 |
Last Update Date | 2010-08-23 |