| NPI | 1629374392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95290032) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 140100) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2024-01-18 |