| NPI | 1114788981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 820967-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 820967-01) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |