| NPI | 1639321342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 662801) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 662801) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 662801) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: CA 662801) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |