| NPI | 1215473145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95009867) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95100388) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2018-10-02 |