NPI | 1417145731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PR 014631) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 014631) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2010-04-24 |