| NPI | 1184265407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029696) |
| Additional Taxonomies | 101Y00000X Counselor |
| 163W00000X Registered Nurse (Licence: CA 95274939) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2024-09-29 |