NPI | 1356885289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA NP95012009) |
Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95105558) |
164X00000X Licensed Vocational Nurse (Licence: CA 95105558) | |
Enumeration Date | 2016-12-12 |
Last Update Date | 2025-07-29 |