| NPI | 1083277255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016645) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95036841) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2021-03-05 |