| NPI | 1871725622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP05921) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA TAP2170) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP05921) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP05921) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2023-11-08 |