NPI | 1992275762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023715) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95147493) |
Enumeration Date | 2018-12-05 |
Last Update Date | 2023-04-20 |