| NPI | 1104282326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95177320) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN220591) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2018-10-11 |