| NPI | 1013462654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004095) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 823287) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004095) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 823287) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2025-11-04 |