| NPI | 1942936711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013443) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013443) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2025-10-20 |