NPI | 1891834115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 633053) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 15601) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2014-03-27 |