| NPI | 1235603671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95227562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 744026-1) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA 95227562) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2024-04-25 |