| NPI | 1215742127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95024408) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA NP95024408) |
| 363L00000X Nurse Practitioner (Licence: CA NP95024408) | |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-05-10 |