| NPI | 1518415546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004431) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA F0116359) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA F0116359) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2021-12-06 |