| NPI | 1497766794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-102431) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: AL 1-102431) |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: AL 1-102431) | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: AL 1-102431) | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: AL 1-102431) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |