NPI | 1851782718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002090) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: CA 710377) |
363L00000X Nurse Practitioner (Licence: CA 95002090) | |
364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA 95002090) | |
Enumeration Date | 2015-02-13 |
Last Update Date | 2025-03-13 |