| NPI | 1982306338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029874) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN91500067) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-05-14 |