| NPI | 1679163349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95128391) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95128391) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2023-04-25 |