NPI | 1386910362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95038580) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 223269) |
Enumeration Date | 2012-03-24 |
Last Update Date | 2014-09-16 |