| NPI | 1164968269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CA 95068543) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95068543) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |