| NPI | 1588117717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95011972) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CT 113172) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6919) | |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2024-10-11 |