| NPI | 1710420807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95005526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95110928) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005526) | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2023-06-08 |