| NPI | 1053440065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 16368) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-173734) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202101970NP-PP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 16368) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61138359) | |
| 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: CA 1709) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-10-23 |