| NPI | 1255975769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95018198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95117726) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2021-08-31 |