NPI | 1588162002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95007992) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007992) |
Enumeration Date | 2018-01-30 |
Last Update Date | 2023-01-11 |