| NPI | 1356290431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95041261) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95254532) |
| Enumeration Date | 2026-01-22 |
| Last Update Date | 2026-09-04 |