NPI | 1093040776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021658) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 745996) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2023-03-15 |