| NPI | 1477010890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN249827) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN249827) | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2023-08-02 |