NPI | 1801145321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52974) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2012025737) |
363A00000X Physician Assistant (Licence: CA PA52974) | |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 52974) | |
Enumeration Date | 2012-08-29 |
Last Update Date | 2024-09-17 |