| NPI | 1992560650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029493) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95044858) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2025-01-21 |