| NPI | 1144351123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019487) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 189021) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 793871) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2026-04-01 |