| NPI | 1225343353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 821549) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 24012) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2013-03-14 |