NPI | 1770356065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029840) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95171743) |
363L00000X Nurse Practitioner (Licence: CA 95029840) | |
Enumeration Date | 2023-10-30 |
Last Update Date | 2024-10-03 |