NPI | 1285280685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95018807) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 741184-1) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402993) | |
Enumeration Date | 2019-08-13 |
Last Update Date | 2024-10-22 |