| NPI | 1144687047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003663) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95003663) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003663) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 822354) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1045983) | |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2023-11-06 |