NPI | 1205504768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95057694) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 95057694) |
Enumeration Date | 2021-08-31 |
Last Update Date | 2022-02-02 |