| NPI | 1518486125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95006349) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006349) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95006349) | |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2025-11-03 |