| NPI | 1114708062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95036298) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 699797) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2026-09-14 |