| NPI | 1134741226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: FL 3551858) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 336796) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-05-31 |