| NPI | 1134311194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 24770) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WY 24770) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2012-02-10 |