| NPI | 1841571015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95004097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95078213) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95078213) | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2021-10-30 |