| NPI | 1316901689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 15219) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 15219) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: CA 15219) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 15219) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2022-01-03 |