NPI | 1780198051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95006636) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006636) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95006636) | |
Enumeration Date | 2017-11-25 |
Last Update Date | 2020-10-14 |