| NPI | 1841712379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95009970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 717951) |
| 163W00000X Registered Nurse (Licence: CA 95153013) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2019-01-23 |