| 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 Psychiatric/Mental Health (Licence: CA 551800) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 551800) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-11-27 |