| NPI | 1326683558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL aprn11004857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004857) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95029760) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029760) | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2024-11-16 |