NPI | 1205391703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2021038727) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011026) |
Enumeration Date | 2019-02-08 |
Last Update Date | 2022-03-08 |