NPI | 1073157152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95030515) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95200234) |
Enumeration Date | 2019-11-01 |
Last Update Date | 2024-08-02 |