| NPI | 1972139277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 536331) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 536331) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CA 536331) | |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |