| NPI | 1942050935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95021349) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: CA 95193084) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CA 95193084) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 95193084) | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |