NPI | 1427366749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 20809) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN002728) |
163W00000X Registered Nurse (Licence: CA 754202) | |
163W00000X Registered Nurse (Licence: AZ RN189053) | |
163W00000X Registered Nurse (Licence: NV RN96160) | |
174H00000X Health Educator | |
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 20809) | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP7493) | |
Enumeration Date | 2010-09-21 |
Last Update Date | 2021-03-02 |