| NPI | 1851659171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95233258) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95233258) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2024-05-21 |