| NPI | 1598232928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016352) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP139444) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95016352) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2022-04-01 |