| NPI | 1235690397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010806) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95110509) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95010806) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-02-28 |