NPI | 1679069058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025863) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2018-07-09 |
Last Update Date | 2023-07-31 |