NPI | 1801338793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005339) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005339) |
Enumeration Date | 2016-11-09 |
Last Update Date | 2023-09-13 |