| NPI | 1205651130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001300787) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001300787) | |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |