| NPI | 1427795228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN-TEMP15236) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041475634) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2022-05-13 |