| NPI | 1790327310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 709572) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TX 314975) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2024-04-30 |