| NPI | 1871826057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005944) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA10878) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95005944) | |
| Enumeration Date | 2009-09-06 |
| Last Update Date | 2018-10-31 |