| NPI | 1285183822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95023648) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016033609) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021003721) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2023-01-26 |