| NPI | 1942364740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 235540) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: SC 232320) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2016-07-14 |