| NPI | 1770858045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA NP95020159) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 3314742) |
| 363LF0000X Nurse Practitioner Family (Licence: FL 3314742) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA NP95020159) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL APRN3314742) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2023-02-16 |