| NPI | 1689071169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024378) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95001325) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95001325) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95001325) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95001325) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2023-02-10 |