NPI | 1396838082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP14201) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM APRNCNP54394) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2024-11-22 |