| NPI | 1215642947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013518) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95089483) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95013518) | |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-04-30 |