| NPI | 1982010088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005233) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005233) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 338946) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403197) | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2022-02-17 |