| NPI | 1124603212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2021186734) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022560) |
| 163W00000X Registered Nurse (Licence: CA 95052498) | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2022-10-17 |