| NPI | 1174533053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28095321A) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IN 70000013A) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |