| NPI | 1093904518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: FL 1326612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 1326612) |
| 163WC0400X Registered Nurse, Case Management (Licence: FL 1326612) | |
| 163WC1500X Registered Nurse, Community Health (Licence: FL RN1326612) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: FL 1326612) | |
| 163WG0000X Registered Nurse, General Practice (Licence: FL RN1326612) | |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2022-01-03 |