| NPI | 1356873715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95006733) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN APN0000022322) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 22322) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95006733) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-04-24 |