NPI | 1720538788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95031769) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95097866) |
163WC1500X Registered Nurse, Community Health (Licence: CA 95097866) | |
Enumeration Date | 2016-10-13 |
Last Update Date | 2024-10-09 |