| NPI | 1629658323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 508940-1) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 508940-1) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-15 |