| NPI | 1316583479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019459) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009579A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71009579A) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-10-27 |