NPI | 1407393903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005833) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005833) |
363LF0000X Nurse Practitioner, Family (Licence: CA 712998) | |
363L00000X Nurse Practitioner (Licence: CA 95005833) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61270915) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209025150) | |
Enumeration Date | 2017-01-23 |
Last Update Date | 2022-07-07 |