| NPI | 1700372737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95376518) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 698010) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-09-25 |