| NPI | 1477615334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MA RN181184) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: MA 181184) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2013-01-02 |