| NPI | 1639501877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003836) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003836) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 12.005412) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2026-05-18 |