NPI | 1306065990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21386) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA RN558558) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2019-08-29 |