| NPI | 1699129163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95013930) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95070223) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2332957) | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2023-06-14 |