NPI | 1205393998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95011011) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011011) |
Enumeration Date | 2019-02-28 |
Last Update Date | 2022-11-10 |