| NPI | 1689190068 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95007306)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 815193)  | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95007306)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-17 | 
| Last Update Date | 2022-07-21 |