| NPI | 1326654815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95015482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95015482) |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2025-05-14 |