| NPI | 1568533107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 054350) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 01403) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-09-11 |