| NPI | 1508456096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: TN 0000085468) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TN 0000085468) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |