| NPI | 1699973693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 330605) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 17539) |
| 111N00000X Chiropractor (Licence: NY Y005601) | |
| 163W00000X Registered Nurse (Licence: CA 330605) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2020-09-10 |