NPI | 1134426554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: NY 700004) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 289320) |
Enumeration Date | 2011-02-21 |
Last Update Date | 2024-05-28 |