| NPI | 1992216865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA student) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 780870) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 780870) | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2024-04-18 |