NPI | 1316671571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95301449) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 695867) |
Enumeration Date | 2022-07-13 |
Last Update Date | 2022-12-30 |