| NPI | 1184133944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95007450) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA np95007450) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-12-16 |