NPI | 1124298898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 17754) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 532089) |
363LF0000X Nurse Practitioner, Family (Licence: CA 17754) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 219807) | |
Enumeration Date | 2008-03-09 |
Last Update Date | 2020-05-11 |