NPI | 1356933220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025451) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95239192) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95239192) | |
Enumeration Date | 2021-02-10 |
Last Update Date | 2024-09-05 |