NPI | 1467080887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024268) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95143926) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2023-02-14 |