| NPI | 1225286156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 16697) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 618177) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 16697) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2026-09-18 |