| NPI | 1740795038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA 700451) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 700451) |
| 163WH1000X Registered Nurse, Hospice (Licence: PA 700451) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: PA 700451) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |