| NPI | 1619375102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95158123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201394749RN) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2018-03-19 |