| NPI | 1912273004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: HI APRN 430) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: HI RN15975) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2022-06-05 |