NPI | 1528695558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013960) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013960) |
Enumeration Date | 2020-03-27 |
Last Update Date | 2023-07-25 |