| NPI | 1366193138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95027427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95149929) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2025-01-03 |