NPI | 1811947526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: ID CNS25A) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: UT 2006504405) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: UT 2006508900) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2013-01-31 |