| NPI | 1093171696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95019985) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC001754) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024173071) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2023-11-01 |