NPI | 1528506714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95106647) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 95106647) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-02-07 |