NPI | 1710691340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95031768) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95110079) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2023-01-09 |
Last Update Date | 2024-10-10 |