NPI | 1245660422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95000966) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 849603) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2014-10-24 |