| NPI | 1710489547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MS 920312) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2024-05-01 |