| NPI | 1578205167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN500006779) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 830251) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2023-09-19 |