| NPI | 1790347771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95036984) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 224287) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 224287) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2026-07-21 |