NPI | 1902243827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23027) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 84092) |
Enumeration Date | 2013-06-01 |
Last Update Date | 2016-11-07 |