| NPI | 1245269109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA SP007663) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN265593L) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2011-08-17 |