NPI | 1114680824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023290) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 533963) |
163W00000X Registered Nurse (Licence: CA 533963) | |
Enumeration Date | 2021-10-19 |
Last Update Date | 2024-10-15 |