| NPI | 1063911691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201605428LPN) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5187199) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2021-02-18 |