| NPI | 1992986731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95005218) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 635727) |
| 163WH0200X Registered Nurse Home Health (Licence: CA 635727) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95005218) | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2021-06-25 |