| NPI | 1083504468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CA 9532123) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95036063) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2026-06-04 |