| NPI | 1174321806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 776260) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9605082) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |