| NPI | 1518212323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IL 209009540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041170279) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |