| NPI | 1861033870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013472) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013472) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95013472) | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2025-12-30 |