| NPI | 1609478148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95186348) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-06-14 |