NPI | 1407926546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA RN562868NPF11361) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN562868NPF11361) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2013-02-27 |