| NPI | 1639985567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KY 1176021) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IN 28293055A) |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-09 |