NPI | 1750044228 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95028283) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95256214) |
Enumeration Date | 2021-10-20 |
Last Update Date | 2023-12-09 |