| NPI | 1316772361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023546) |
| 163WP1700X Registered Nurse, Perinatal (Licence: CA 95102745) | |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2025-09-14 |