| NPI | 1417013681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA RN295812/4487) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR 171378) |
| 363A00000X Physician Assistant (Licence: CA 51802) | |
| 363L00000X Nurse Practitioner (Licence: WA AP30003387) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA RN295812 NP4487) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2021-02-25 |