| NPI | 1437768082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95018455) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95202174) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2022-12-05 |