NPI | 1427294941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23727) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 732025) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 23727) | |
Enumeration Date | 2009-01-06 |
Last Update Date | 2020-06-29 |