NPI | 1891129854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95012541) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 842223) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2019-08-29 |