NPI | 1538356670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020106) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9181925) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F310760-01) | |
Enumeration Date | 2007-10-03 |
Last Update Date | 2023-06-05 |