| NPI | 1396954624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA R210493) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA R210493) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CA R210493) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA R210493) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |