| NPI | 1134420383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 867629) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 302792) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2024-06-18 |