| NPI | 1184714859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 10159) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 525259) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 10159) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-02-11 |