| NPI | 1518448521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95009445) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95009445) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-05-28 |