| NPI | 1528195856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WV 28923) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WV 28923) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WV 28923) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WV 28923) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |