NPI | 1992986731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005218) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 635727) |
163WH0200X Registered Nurse, Home Health (Licence: CA 635727) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95005218) | |
Enumeration Date | 2007-11-20 |
Last Update Date | 2021-06-25 |