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, Psych/Mental Health (Licence: CA 95012379) | |
Enumeration Date | 2007-08-10 |
Last Update Date | 2024-06-10 |