| NPI | 1447992193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95039704) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95212778) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2026-07-29 |