| NPI | 1144269804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 266797) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 266797) |
| 363LC1500X Nurse Practitioner Community Health (Licence: CA 266797) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: CA 266797) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 3127) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2014-01-23 |