| NPI | 1326494337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006433) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 739966) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95006433) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2019-07-12 |