| NPI | 1629161625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1401A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 12904) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 12904) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID NP-1401A) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-04-10 |