NPI | 1295272318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023149) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95027546) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2023-05-09 |