| NPI | 1952557191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 262598) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 4528) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA P280) | |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |