| NPI | 1801192653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017121) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95125837) |
| 164X00000X Licensed Vocational Nurse (Licence: CA 253384) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2022-08-19 |