NPI | 1578057576 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95010538) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61653032) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP019733) | |
Enumeration Date | 2018-06-22 |
Last Update Date | 2025-02-08 |