NPI | 1619164399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 18197) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 334758) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2010-06-02 |