| NPI | 1235697996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 8047651-3102) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 8047651-3102) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2021-01-08 |