| NPI | 1164029534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95207552) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95207552) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-19 |