| NPI | 1033277033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2018019669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000416) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-08-08 |