NPI | 1285249276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: CA 95181727) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95029220) |
Enumeration Date | 2020-09-15 |
Last Update Date | 2024-03-15 |