| NPI | 1093300600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95146810) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016653) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016653) | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2024-06-17 |