| NPI | 1679242481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95257408) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95257408) | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2024-12-02 |