NPI | 1700427531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95012686) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95012686) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2024-05-20 |