| NPI | 1851803340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004531) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95004531) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004531) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2021-06-17 |