NPI | 1942750815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95009754) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95100780) |
Enumeration Date | 2016-10-04 |
Last Update Date | 2018-11-19 |