| NPI | 1285504340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95041797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95222908) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2026-10-01 |