NPI | 1356021836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95034319) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 813167) |
Enumeration Date | 2023-07-20 |
Last Update Date | 2025-03-26 |