| NPI | 1710620562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR R080496) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AR R80496) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AR R80496) | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |