| NPI | 1760888903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: RI RN40968) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2277733) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |