| NPI | 1083034458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN141097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN141097) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |