NPI | 1295248136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041432599) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041432599) |
Enumeration Date | 2017-11-14 |
Last Update Date | 2019-08-22 |