| NPI | 1750044228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95028283) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95256214) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2024-09-18 |