| NPI | 1992087704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ SANE-A) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK 0283292-03) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |