| NPI | 1396505202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029773) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029773) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95029773) | |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2025-08-20 |