| NPI | 1093242851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA RN449787) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202000873) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60944156) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA RN449787) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-04-16 |