| NPI | 1821026253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 158589) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: FL RN477062) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |