NPI | 1811415078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95220070) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 689788) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2022-07-21 |