| NPI | 1801187752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 179303) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OK 99190) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |