| NPI | 1932470986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: MD R183831) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD R183831) |
| 163W00000X Registered Nurse (Licence: MD R183831) | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |