| NPI | 1144778200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004774) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004774) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: CA 95004774) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2021-08-23 |