| NPI | 1649699182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 2013015810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 171392-30) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |