NPI | 1497265169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95006863) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95104240) |
163W00000X Registered Nurse (Licence: TN 196846) | |
Enumeration Date | 2017-10-06 |
Last Update Date | 2017-10-06 |