| NPI | 1508315870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 121510) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KS 14-73848-015) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |