| NPI | 1649371360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC0223) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MD R057485) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |