NPI | 1073267746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95087479) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019778) |
Enumeration Date | 2022-02-10 |
Last Update Date | 2024-02-28 |