| NPI | 1588817712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 0001123990) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001123990) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |