NPI | 1457010860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025384) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11016552) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95025384) | |
Enumeration Date | 2021-12-13 |
Last Update Date | 2024-06-21 |