| NPI | 1154533487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 17194) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 381898) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 17194) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2019-05-07 |