NPI | 1326330457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R193502) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R193502) |
Enumeration Date | 2011-05-08 |
Last Update Date | 2020-09-22 |