NPI | 1083980247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21597) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 21597) |
363LF0000X Nurse Practitioner, Family (Licence: CA 21597) | |
363LF0000X Nurse Practitioner, Family (Licence: MD 007663) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1054090) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC007664) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 21597) | |
Enumeration Date | 2012-03-31 |
Last Update Date | 2025-06-04 |