NPI | 1851803340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004531) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95004531) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95004531) | |
Enumeration Date | 2017-10-25 |
Last Update Date | 2021-06-17 |