NPI | 1962834150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002173) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 779951) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 2271065) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2271065) | |
Enumeration Date | 2013-07-30 |
Last Update Date | 2020-12-01 |