NPI | 1568562502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95016405) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 20520) |
1041C0700X Social Worker Clinical (Licence: CA 28126) | |
163W00000X Registered Nurse (Licence: CA 95177892) | |
Enumeration Date | 2006-09-22 |
Last Update Date | 2021-07-20 |