| NPI | 1376946699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95161450) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1115054) |
| 363L00000X Nurse Practitioner (Licence: KY 3008601) | |
| 363LF0000X Nurse Practitioner Family (Licence: KY F1013526) | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2018-07-09 |