NPI | 1073065629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 068445) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA RN068445) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2018-09-25 |