NPI | 1205641016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 13-93698-111) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2005018031) |
Enumeration Date | 2025-02-10 |
Last Update Date | 2025-02-10 |