NPI | 1255618161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: PA RN614424) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: PA RN614424) |
Enumeration Date | 2011-11-05 |
Last Update Date | 2011-11-05 |