| NPI | 1417479163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95227284) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 287646) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-10-03 |