| NPI | 1891988317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95205010) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN 226642) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2020-07-31 |