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, Psych/Mental Health (Licence: CA 95010405) | |
Enumeration Date | 2019-01-08 |
Last Update Date | 2024-01-24 |