| NPI | 1285280685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95018807) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 741184-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402993) | |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2022-03-23 |