NPI | 1629360425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95127906) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 216166) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2017-06-14 |