| NPI | 1205603420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2026018168) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95356790) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2026-04-07 |