| NPI | 1740906809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95032674) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95041589) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2024-11-07 |