| NPI | 1578702114 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 079126-21)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 198849)  | 
| Enumeration Date | 2009-02-04 | 
| Last Update Date | 2021-10-29 |