| NPI | 1477396695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95036769) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95106145) |
| 163W00000X Registered Nurse (Licence: CA 95106145) | |
| Enumeration Date | 2024-06-15 |
| Last Update Date | 2026-03-12 |