NPI | 1023488814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005097) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95047227) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2022-07-21 |