| NPI | 1912168493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95221443) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 230965) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2020-08-03 |