| NPI | 1295406502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95106752) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95021611) | |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2025-10-30 |