| NPI | 1487296414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95288239) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2026-01-05 |