NPI | 1871378133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025744) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 783577) |
Enumeration Date | 2023-08-25 |
Last Update Date | 2023-08-25 |