NPI | 1578012746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY F405804-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 715546) |
Enumeration Date | 2016-09-28 |
Last Update Date | 2024-09-02 |