| NPI | 1457804619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010826) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02960) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95010826) | |
| 163W00000X Registered Nurse (Licence: CA 511718) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2022-10-12 |