| NPI | 1144612805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002164) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95002164) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95002164) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002164) | |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2024-03-08 |