| NPI | 1528369154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019641) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 758886) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95019641) | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2024-10-10 |