| NPI | 1376052126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95261126) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician |
| 164X00000X Licensed Vocational Nurse (Licence: CA 692850) | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-22 |