| NPI | 1144864679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021023) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019040545) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2017041070) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2026-06-22 |