| NPI | 1912215567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV RN53535) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NV RN53535) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |