| NPI | 1700134988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21139) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 21139) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP4453) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0990363-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4453) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2022-06-09 |