| NPI | 1508331737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95009678) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95009678) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2024-01-10 |