NPI | 1730438334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95071645) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95071645) |
164X00000X Licensed Vocational Nurse (Licence: CA 265433) | |
Enumeration Date | 2012-08-29 |
Last Update Date | 2022-06-09 |