NPI | 1225360498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 20560) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 698511) |
Enumeration Date | 2010-02-12 |
Last Update Date | 2023-05-22 |