| NPI | 1326708207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95019658) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95025987) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2023-12-22 |