NPI | 1528472545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95000743) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA F1214569) |
364SW0102X Clinical Nurse Specialist Women's Health (Licence: CA 95000743) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2022-08-22 |