| NPI | 1679123780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95012736) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95012736) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2024-09-17 |