NPI | 1629434725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: NY 510384) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 309902) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2024-05-31 |