| NPI | 1508559675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1042439) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: DC RN1042439) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-08-18 |