NPI | 1952557191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 262598) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 4528) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA P280) | |
Enumeration Date | 2008-08-07 |
Last Update Date | 2008-08-07 |