NPI | 1932559853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005760) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 611372) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95005760) | |
Enumeration Date | 2016-06-22 |
Last Update Date | 2022-12-01 |