| NPI | 1790151751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95265833) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 250252) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2022-01-21 |