NPI | 1457810061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP95011090) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 791574) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP95011090) | |
Enumeration Date | 2019-03-14 |
Last Update Date | 2022-10-05 |