| NPI | 1467069351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 22-669956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22-669956) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 22-669956) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 22-669956) | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |