| NPI | 1114474350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004917) |
| 207Q00000X Family Medicine (Licence: CA 780007) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2024-10-10 |