| NPI | 1538306956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9283542) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8206) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |