NPI | 1528559515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95352446) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 25651) |
Enumeration Date | 2018-05-24 |
Last Update Date | 2024-05-06 |