| NPI | 1376954818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95010032) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95010032) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 814533) | |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2023-06-29 |