| NPI | 1174907950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95010576) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686406) |
| 163W00000X Registered Nurse (Licence: CA 95167019) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 402090) | |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2022-03-09 |