NPI | 1003140336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18942) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 18942) |
Enumeration Date | 2009-09-18 |
Last Update Date | 2024-07-19 |