| NPI | 1376081158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7523-33) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7523-33) | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2023-07-11 |