| NPI | 1144829805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ND R38758) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN R121383-8) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |