| NPI | 1295481877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95014757) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014757) |
| 363L00000X Nurse Practitioner (Licence: CA 95014757) | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-05-22 |