| NPI | 1013453612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95135887) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2021-11-22 |