NPI | 1447472550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2272122) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NH 01411422) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2011-08-19 |