| NPI | 1659504264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003903) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003903) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704242478) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202214246NP-PP) | |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2022-09-22 |