| NPI | 1275166381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95014610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95126986) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95126986) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95014610) | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2024-03-06 |