NPI | 1932411253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95269396) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 223405) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2025-01-17 |