| NPI | 1962959072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004899) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95004899) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95004899) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004899) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2020-06-19 |