| NPI | 1215583919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95343775) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95035795) | |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2026-01-14 |