NPI | 1073038402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95354618) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95354618) |
164X00000X Licensed Vocational Nurse (Licence: CA 691853) | |
Enumeration Date | 2017-08-07 |
Last Update Date | 2024-11-13 |