| NPI | 1225606254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95021676) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95062617) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021676) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2022-07-18 |