| NPI | 1295445807 |
|---|---|
| Former Name | JEAN TARAH BENAVIDES LABRADOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95038025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95217399) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2026-06-08 |