| NPI | 1326387556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95000211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R876185) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95000211) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2019-07-30 |