| NPI | 1538699236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013188) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013188) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 55892) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2024-12-31 |