NPI | 1790398295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017843) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95127251) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95127251) | |
Enumeration Date | 2020-08-25 |
Last Update Date | 2023-03-13 |