| NPI | 1821192444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WI 143428-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 143428030) |
| 163WH0200X Registered Nurse, Home Health (Licence: WI 143428030) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2025-03-26 |