| NPI | 1467962746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95008073) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 769892) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95008073) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2025-04-18 |