| NPI | 1912653536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024873) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 56220) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 305924) | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2025-02-06 |