| NPI | 1114236395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95000726) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NPF95033207) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024168971) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA NPF95033207) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2024-08-22 |