NPI | 1467989525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95012916) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 756235) |
Enumeration Date | 2017-05-18 |
Last Update Date | 2022-07-21 |