| NPI | 1407239262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002524) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95002524) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002524) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2022-05-18 |