NPI | 1952984783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021452) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95137102) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95021452) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2021-04-29 |
Last Update Date | 2025-09-15 |