NPI | 1841917655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023615) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95075620) |
Enumeration Date | 2022-10-21 |
Last Update Date | 2022-12-13 |