| NPI | 1518454990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA 2012005) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 2012005) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-11-19 |