NPI | 1063508992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 11315) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 11315) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2012-04-06 |