NPI | 1790946135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025040) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN157231) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2024-11-22 |