| NPI | 1386163954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 788279) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 788279) | |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2024-05-26 |