| NPI | 1508419391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95188914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95188914) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95188914) | |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2022-05-25 |