| NPI | 1740900984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95021830) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-12-01 |