| NPI | 1306736723 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9413887) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN672214) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9413887) | |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |