NPI | 1871199315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022700) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95022700) |
163W00000X Registered Nurse (Licence: CA 95230262) | |
Enumeration Date | 2020-12-09 |
Last Update Date | 2024-11-21 |