| NPI | 1134482565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 459265) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 459265) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |