| NPI | 1114680824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 533963) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 533963) | |
| 251S00000X | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-09-12 |