| NPI | 1821077439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: UT 191131-3102) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 721911313102) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2016-06-29 |