| NPI | 1659483071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 10258) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CA 10258) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 10258) | |
| 363L00000X Nurse Practitioner (Licence: CA 518409) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 10258) | |
| 363L00000X Nurse Practitioner (Licence: MA 184455) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-12-19 |