| NPI | 1396528105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1008156) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: DC RN1008156) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |