NPI | 1780787036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 472764) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 472764) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2015-04-14 |