| NPI | 1134617939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 20222001010) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA F03180717) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-03-13 |