| NPI | 1114323755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019346) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 842936) |
| 363L00000X Nurse Practitioner (Licence: CA 95019346) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95019346) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2024-04-24 |