| NPI | 1558185553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 236347) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 2022152249) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |