NPI | 1548406515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP18306) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA NP18306) |
Enumeration Date | 2008-12-22 |
Last Update Date | 2021-06-22 |