| NPI | 1700055654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R81262) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR L46657) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2011-06-01 |