NPI | 1275029779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95150283) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA RN95150282) |
163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CA RN95150283) | |
Enumeration Date | 2018-07-08 |
Last Update Date | 2018-07-08 |