| NPI | 1447723879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010405) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP95010405) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95010405) | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2024-01-24 |