| NPI | 1164262614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 538547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 538547) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |