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 |