| NPI | 1275239758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2024029875) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95023981) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95023981) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-09-16 |