| NPI | 1306172812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R117405) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN53878) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |