| NPI | 1790023281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA RN2265878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2265848) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2265878) | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2022-11-22 |