NPI | 1740788108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 430807) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 430807) |
Enumeration Date | 2018-01-30 |
Last Update Date | 2018-01-30 |