| NPI | 1871630012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: LA RN079644) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: LA RN079644) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-07-05 |