| NPI | 1356092795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95032340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95107060) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2025-04-02 |