| NPI | 1295704484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP16048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 629690) |
| 163W00000X Registered Nurse (Licence: OK 212340) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OK 212340) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 212340) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 212340) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2023-10-15 |