NPI | 1447619168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95022640) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-02-23 |
Last Update Date | 2022-11-15 |