| NPI | 1750080800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95028132) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95043000) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2024-04-08 |