NPI | 1215276712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN95255201) |
Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 36670) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2024-04-26 |