| NPI | 1619004116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95398036) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 36193) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2025-01-28 |