NPI | 1205489085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95012263) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012263) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2024-02-07 |