| NPI | 1659716710 |
|---|---|
| Former Name | KHARLA KAY ISAAC DIZON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 805684) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2014-10-21 |