| NPI | 1982887659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95014967) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002049A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.006888) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71002049B) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209006888) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2022-08-02 |