NPI | 1245635515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: CA 640665) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 640665) |
163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 640665) | |
163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 640665) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 640665) | |
163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 640665) | |
Enumeration Date | 2014-10-29 |
Last Update Date | 2014-10-29 |