| 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 |