NPI | 1609298926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NPF95004734) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN75581) |
163W00000X Registered Nurse (Licence: CA 817389) | |
Enumeration Date | 2014-01-07 |
Last Update Date | 2022-03-30 |