| NPI | 1114218252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95028184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 640322) |
| 163W00000X Registered Nurse (Licence: CA 95184980) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405400) | |
| Enumeration Date | 2011-04-24 |
| Last Update Date | 2023-11-29 |