NPI | 1508199191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95027587) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN222004) |
164X00000X Licensed Vocational Nurse (Licence: CA 2023005277) | |
Enumeration Date | 2009-09-14 |
Last Update Date | 2023-12-05 |