NPI | 1396386736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95203628) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95203628) |
Enumeration Date | 2019-10-07 |
Last Update Date | 2020-10-16 |