NPI | 1346891116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 833868) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330956) |
Enumeration Date | 2019-09-24 |
Last Update Date | 2024-06-03 |