| NPI | 1205294980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041359126) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: IL 041359126) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |