| NPI | 1821237058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 28182627A) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27059477A) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |