NPI | 1104542877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021249) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95154412) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95021249) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021249) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95021249) | |
Enumeration Date | 2022-10-14 |
Last Update Date | 2023-07-21 |