| NPI | 1851839112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2270321) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 1155097) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2270321) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2025-01-27 |