| NPI | 1508201096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 820571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 252138) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2019-06-06 |