| NPI | 1841482155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95012379) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 235688) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95012379) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2024-06-10 |