| NPI | 1073614152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MA RN201559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN34980) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-01-03 |