| NPI | 1295409597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029329) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95049751) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2024-04-29 |