NPI | 1356712764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN246819L) |
Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: PA RN24819L) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA RN246819L) | |
Enumeration Date | 2015-10-12 |
Last Update Date | 2015-10-12 |