| NPI | 1982352803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95273779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT RN-127444) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |