NPI | 1013439405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011006) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 699794) |
363L00000X Nurse Practitioner (Licence: CA 95011006) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95011006) | |
Enumeration Date | 2017-07-07 |
Last Update Date | 2023-03-01 |