NPI | 1386653194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 19152) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 65953) |
364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CA 3250) | |
Enumeration Date | 2006-08-08 |
Last Update Date | 2023-04-25 |