| NPI | 1588203103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA NP95014070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 842378) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95014070) | |
| 363LF0000X Nurse Practitioner Family (Licence: CA NP95014070) | |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2021-06-02 |