| NPI | 1801493671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 701154) |
| 363L00000X Nurse Practitioner (Licence: CA 95017391) | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2025-03-17 |