| NPI | 1699145342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95003230) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA 61383915) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95003230) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2024-04-14 |