| NPI | 1205344454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 1649937) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1649937) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2023-11-15 |