| NPI | 1740988120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95126081) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-08-22 |