NPI | 1710442033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN95147651) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA RN95147651) |
Enumeration Date | 2019-02-01 |
Last Update Date | 2022-07-14 |