| NPI | 1225682446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 809644) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 809644) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-02-27 |