| NPI | 1871980409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 490244-1) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 490244-1) |
| 163WA2000X Registered Nurse, Administrator (Licence: NY 490244-1) | |
| 163WC0400X Registered Nurse, Case Management (Licence: NY 490244-1) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 490244-1) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 490244-1) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 490244-1) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |