| NPI | 1508261686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 829914) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 829914) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2024-06-06 |