| NPI | 1215616438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024804) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10009966) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 332402) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2026-01-06 |