| NPI | 1942798442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95247335) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 95247335) |
| 164X00000X Licensed Vocational Nurse (Licence: CA VN684143) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2021-10-31 |