NPI | 1164663613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60222250) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 683042) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401451-1) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 19159) | |
364S00000X Clinical Nurse Specialist (Licence: CA 3253) | |
Enumeration Date | 2009-03-12 |
Last Update Date | 2021-01-20 |