NPI | 1588203103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95014070) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 842378) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95014070) | |
363LF0000X Nurse Practitioner, Family (Licence: CA NP95014070) | |
Enumeration Date | 2019-12-30 |
Last Update Date | 2021-06-02 |