NPI | 1770671828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 15754) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 15754) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2023-02-28 |