| NPI | 1801224217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23752) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 783617) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CA 23752) | |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2024-06-25 |