NPI | 1740908102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704344099) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704344099) |
Enumeration Date | 2022-08-19 |
Last Update Date | 2022-08-19 |