| NPI | 1891213914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95022816) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95076215) |
| 363L00000X Nurse Practitioner (Licence: CA 95022816) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2023-03-06 |