| NPI | 1942455597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 14445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 14445) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2317) | |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2020-02-21 |