NPI | 1316698715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023635) |
Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: CA 95119927) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95023635) | |
Enumeration Date | 2022-01-17 |
Last Update Date | 2023-04-03 |