| NPI | 1063653657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: MA 239811) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CT E39621) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2015-05-11 |