| NPI | 1285053314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MT 72629) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MT 72629) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MT 72629) | |
| 163W00000X Registered Nurse (Licence: MT 72629) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-06-03 |