| NPI | 1205489085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95012263) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95012263) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2024-02-07 |