| NPI | 1679159099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 0000150069) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 0000150069) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2022-06-02 |