| NPI | 1215481874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95020332) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95020332) |
| 163W00000X Registered Nurse (Licence: CA 95070038) | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2023-09-11 |