NPI | 1578761664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 14670) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 561569) |
363L00000X Nurse Practitioner (Licence: CA NP14670) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: CA 14670) | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2022-05-04 |