| NPI | 1497094304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95016514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010196) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006860A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95016514) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016514) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2025-02-26 |