| NPI | 1083159289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017394) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 800583) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95017394) | |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2025-09-19 |