| NPI | 1518502319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95013526) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28200431A) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2023-10-11 |