NPI | 1235158593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 548-033) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 47286-030) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2008-01-28 |