| NPI | 1700426350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95345552) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 716596) |
| 167G00000X Licensed Psychiatric Technician (Licence: CA 41391) | |
| Enumeration Date | 2020-01-12 |
| Last Update Date | 2024-07-26 |