| NPI | 1326599002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017732) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95097180) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 95097180) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2021-10-12 |