| NPI | 1528195856 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WV 28923)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 28923)  | 
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WV 28923)  | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WV 28923)  | |
| Enumeration Date | 2007-02-27 | 
| Last Update Date | 2025-09-11 |