| NPI | 1396130050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007834) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95051770) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95051770) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201707000NP-PP) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2021-06-07 |