| NPI | 1265621247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KY 1038342) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KY 5238P) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |