| NPI | 1639718323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA np95020590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95155332) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2022-05-31 |