NPI | 1255779120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 22671) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA FNP22671) |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA FNP22671) | |
Enumeration Date | 2013-06-12 |
Last Update Date | 2024-10-17 |