| NPI | 1508102476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21897) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21897) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2023-01-11 |