| NPI | 1033755053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017017) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-03-11 |