NPI | 1356642920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP3762) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 843046) |
163W00000X Registered Nurse (Licence: AZ RN164853) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23139) | |
Enumeration Date | 2010-11-12 |
Last Update Date | 2024-01-30 |