NPI | 1316583479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019459) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009579A) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71009579A) | |
Enumeration Date | 2019-11-25 |
Last Update Date | 2023-10-27 |