| NPI | 1033686449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010305) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 95010305) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95010305) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-02-05 |