| NPI | 1033522461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07768) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP07768) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP125607) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP125607) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2026-06-18 |