| NPI | 1023524691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95011605) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95011605) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2024-08-15 |