| NPI | 1841967973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001248534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001248534) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2022-02-22 |