| NPI | 1548643166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95002597) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95002597) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95002597) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2023-10-25 |