| NPI | 1750823530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95019999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201242077RN) |
| 163W00000X Registered Nurse (Licence: CA 95146518) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2022-07-21 |