NPI | 1518219674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 649306) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 649306) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2021-04-08 |