NPI | 1881273001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023110) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95060005) |
Enumeration Date | 2021-04-05 |
Last Update Date | 2023-02-07 |