| NPI | 1992038038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 234569) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MA 234569) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |