NPI | 1114594488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA 160686) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN160686) |
Enumeration Date | 2021-06-07 |
Last Update Date | 2022-12-29 |