NPI | 1780401349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95032937) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 744969) |
Enumeration Date | 2024-09-25 |
Last Update Date | 2024-11-13 |