| NPI | 1295431294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 9129317-3102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 9129317-3102) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2024-04-06 |