NPI | 1538195136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP12277) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN525238) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2012-01-04 |