NPI | 1518270388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 20650) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN358455) |
Enumeration Date | 2010-07-21 |
Last Update Date | 2017-02-22 |