| NPI | 1174372098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95074234) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95074234) |
| 164W00000X Licensed Practical Nurse (Licence: CA 95074234) | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |