| NPI | 1790334696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013139) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013139) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2023-07-18 |