NPI | 1154777639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004301) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004301) |
Enumeration Date | 2016-05-13 |
Last Update Date | 2025-09-23 |