| NPI | 1629818000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL RN9575007) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AK 210894) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |