| NPI | 1528472545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95000743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA F1214569) |
| 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CA 95000743) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-08-22 |