| NPI | 1962076521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: SC 66385) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: SC R66385) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |