NPI | 1235186289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP7965) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN369183) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2020-02-17 |