| NPI | 1336331354 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 2008000471) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 133832) | 
| Enumeration Date | 2007-08-14 | 
| Last Update Date | 2008-05-08 |