| NPI | 1679163372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2018036588) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IL 041470020) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |