NPI | 1093894594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 14784) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 14784) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2024-10-22 |