NPI | 1053499780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 551800) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 551800) |
363LC1500X Nurse Practitioner, Community Health (Licence: CA 551800) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 551800) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 551800) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2018-11-27 |