| NPI | 1700549177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95015324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015324) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2022008170) | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2022-09-14 |