| NPI | 1306822176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: RI PNS00004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN22606) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2012-01-19 |