| NPI | 1174733091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CO 130162) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KY 3006938) |
| 163WG0000X Registered Nurse, General Practice (Licence: KY 3006938) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 71003906A) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ AP4591) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-01-20 |