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, Psych/Mental Health (Licence: CA NP95020159) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN3314742) | |
Enumeration Date | 2012-03-20 |
Last Update Date | 2023-02-16 |