NPI | 1598024697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 8290) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 8290) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2018-06-15 |