| NPI | 1881095628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 076046) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IA 076046) |
| 163WC0400X Registered Nurse, Case Management (Licence: IA 076046) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IA 076046) | |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |