| NPI | 1104306968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95167917) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2024-02-05 |