| NPI | 1720609415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95226647) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 757458) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016102) | |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2021-06-07 |